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Behavioral interventions for managing chronic pain

L A Bradley1

  • 1Department of Psychology, University of Alabama at Birmingham.

Bulletin on the Rheumatic Diseases
|April 1, 1994
PubMed
Summary
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Behavioral interventions improve chronic pain conditions like low back pain (LBP), rheumatoid arthritis (RA), and osteoarthritis (OA), reducing suffering and costs. However, outcomes for RA and OA may decline post-treatment, necessitating adaptation strategies.

Area of Science:

  • Behavioral medicine
  • Pain management
  • Rehabilitation

Background:

  • Behavioral interventions offer reliable improvements for chronic pain conditions, including low back pain (LBP), rheumatoid arthritis (RA), and osteoarthritis (OA).
  • These interventions often reduce patient suffering and healthcare expenditures, though rarely eliminate pain entirely.
  • Preventive strategies show particular benefit for recent back injuries.

Purpose of the Study:

  • To compare the outcomes of behavioral interventions for LBP versus RA and OA.
  • To highlight the need for enhanced post-treatment adaptation strategies for RA and OA patients.
  • To provide guidance on selecting quality pain treatment centers.

Main Methods:

  • The study reviews existing evidence on behavioral interventions for chronic pain conditions.

Related Experiment Videos

  • It contrasts the effects of these interventions on LBP compared to RA and OA.
  • It discusses a model for improving post-treatment adaptation in RA and OA patients.

    • Main Results:

    • Behavioral interventions for LBP reduce pain and improve function.
    • Interventions for RA and OA primarily reduce pain and psychological distress.
    • Beneficial outcomes for RA and OA patients tend to diminish after treatment cessation, unlike LBP outcomes.

    Conclusions:

    • Patients with chronic LBP benefit from interventions due to non-progressive tissue changes, unlike RA and OA patients.
    • Greater focus is needed on helping RA and OA patients adapt to disease progression post-treatment.
    • Physicians should verify pain treatment center accreditation (e.g., CARF) when referring patients.